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HomeMy WebLinkAboutapplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 5/17/2021 Permit Number: S �Tro L,UP, ��� : Building Permit Application Planning and Development Services Building and Code Regulation Division Commercial Residential X 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: Address: 8158 13TH HOLE DR Property Tax ID #: 3425-707-0061-000-9 Lot No. Site Plan Name: Block No. Project Name: DETAILED DESCRIPTION OF WORK: LIKE FOR LIKE 3.5 TON 14 SEER PACKAGE UNIT WITH 10 KW HEATER New Electrical Meter Second Electrical Meter Eco:NsLi—RUCTION"INFO-R'MA-T-1-ON:-- Additional work to be performed under this permit — check all that apply: `Mechanical _ Gas Tank _ Gas Piping _ Shutters Windows/Doors Pond _ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 4650.00 Utilities: —Sewer _ Septic Building Height: OWNERAESSEE: CONTRACTOR: Name ROBERT & ANDREA LEACH Name: CURTIS SAMMONS Address: 8158 13TH HOLE DR Company: CUSTOM AIR SYSTEMS INC City: PORT SAINT LUCIE State: Zip Code: 34952 Fax: Phone No. 772-579-9111 Address: 1615 SE VILLAGE GREEN DR City: PORT SAINT LUCIE State: FL Zip Code: 34952 Fax: 772-335-1968 Phone No 772-335-3232 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail CUSTAIRSYS@AOL.COM State or County License CAC051810 VO—C UI LU11JUUl.UU11 1b 43UU Ur more, a KtLUKUtU Notice of commencement is required. If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required. I SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION: � DESIGNER/ENGINEER: — Not Applicable Name:— Address - City: — Zip: Phone State: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone:__ BONDING COMPANY: _Not Applicable Name:_ Address: City:_ Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. St- Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration of the granting of this requested permit, 1 do hereby agree that I will, in all respects, perform the work in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following building permit applications are exempt from undergoing a full concurrency review: room additions, accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in paying twice for improvements to your property. A Notice of Commencement must be recorded in the public records of St. Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording vour Notice of Commencement. Signature of Owner Lessee/Contractor as Agent for Owner i{ Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ;5-r L U C (2 COUNTY OF 5 n- ' r.. 4 C t -e Sworp to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of V . Physical Presence a. Online Notarization ✓Physical Presence or Online Notarization this l 7, rdiay of 2021 by this i _? day of 202$ by t�U./''a�tS �14ntrrtari� a;`ulCSsNfof0tl.S Name of person making statement. Name of person making statement. i Personally Known k"OR Produced Identification Type of Identification Produced (Signature of N6tary Pu4ii State of Florida ) 4, 2p��`;rO C14RISTINE B. ENGLI5 Commission No. %ff}bb Q3d 7 * al)CommissantlHH 0693 , z Expires April 4. 2025 Personally Known OR Produced Identification Type of Identification Produced (Signature of Notary Pub'-/- State of Fl "ka CFiR1STINE B. ENGI I: ip ,...... Commission No.h(;41496 ALZ `?p al : a rV HH 0693 � AW 4, 2025 OF il° Bafd�d TTrtl Bydr.,etl'1�rr yen REVIEWS FRONT ZONING SUPERVISOR PLANS j VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Custom Air Systems Inc. 1615 SE Village Green Drive • Port St. Lucie, FL 34952 (772) 335-3232 • Fax( 772) 335-1968 Proposal and Agreement Customer Name Phone Address Job Address Date City, State, Zip Work Phone(s) We will furnish, install and service the equipment listed below at the price, terms and conditions outlined on this proposal. Make SEER EER Equipment Specifications Model Number(s) AFUE Btuh Cooling Btuh Heating CFM nstallation shall include: ❑ New Amp disconnect ❑ New Amp electric service ❑ New low voltage wiring ❑ New weather resistant equipment stand ❑ Remove existing equipment from premises ❑ Install energy saving setback thermostat ❑ New copper wire from to D Make air tight plenum transition X in boxes = Yes ❑ New condensate drain system ❑ New condensate pump ❑ Install aux. condensate drain pan ❑ New high efficiency air filter New reinforced equipment pad ❑ new supply diffuser(s) ❑ New humidification system ❑ New vibration isolation pads ❑ New properly sized refrigerant lines ❑ New duct run from to ❑ Noise reducing flexible duct connector l ❑ New return air filter grill f ❑ Meet all code requirements ❑ New clean, dry ACR copper tubing ❑ Balance for uniform supply air distribution ❑ Complete system start up D Insulate refrigerant suction line(s) ❑ Install refrigerant drier(s) ❑ Provide for external combustion air ❑ New gas piping from to ❑ year parts warranty fL ❑ year labor warranty [I 0 Evacuate refrigerant system 15 Charge to manufacturer's specs © Meet all federal, state & local laws ❑ New vent pipe and cap ❑ Clean work area to customer's satisfaction ❑ Condensation overflow safety switch ❑ year compressor warranty 11 ❑ year service agreement r ❑ ❑ Option (below) ❑ Hurricane Fasteners for outdoor unit ❑ f Total Investment $ l Taxes $ fL Total Amount $ fL Down Payment $ L Balance Due $ L Terms: ` Acceptance (Customer) Approval (Company) By Date By Date